Dealing with the diagnosis in a relationship

Hello I came across this community while searching online and was hoping that it could be of some help.

I’m a 25 year old guy from the UK and the last few months my health wasn’t great with lots of non specific symptoms like aches and pains, fatigue and generally feeling very unwell yet I couldn’t figure out what was wrong nor could my doctor after numerous visits. After countless visits to my doctor he eventually said to me that I looked slightly jaundiced! I hadn’t yet noticed this and he took bloods for liver tests and tested for various hepatitis.

To my shock my ALT score came back as 2,500 IU/ml and bilirubin was also high can’t quite remember what it was. I was also positive for hbsag. This was about 6 weeks ago. After this result my finance who I have been with for 2 years had to be tested and also came back as positive although she has no symptoms and did not appear to be unwell. I was at first convinced I had given this to her and was really down about it as our doctor began asking me questions about intravenous drug use and numerous sexual partners both of which I have never participated in.

We’ve since had to visit a specialist and had a further hep b panel test and it appears my infection is acute and my fiancé has chronic hep b and has more than likely infected me as a result. Her liver tests have came back as within normal ranges and her ultrasound didn’t show inflammation of her liver so we’ve been advised for her not to start on antiviral treatment yet and to just monitor her bi annually. Unfortunately I had not never been vaccinated as the vaccine was only introduced in the UK for new borns in 2017.

I am feeling better the last couple of days than I have been the past month but this has came as a huge shock and has put a massive strain on our relationship as my fiancé feels consumed with guilt even though I don’t hold it against her at all as she was unaware of the fact she had hep b. I’ve been told that it’s very likely that as a adult I will clear hep b in the next few months but the wait has me very anxious and my fiancé cannot be convinced that I’ll be ok.

My questions are is there anything that can be done to help with the clearing process of acute hep b? @HealthExperts

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